| Ronald L Daniels DO PA | |
|
117 N Winnsboro St Quitman TX 75783-2144 | |
| (903) 763-2218 | |
| (903) 763-4308 |
| Full Name | Ronald L Daniels DO PA |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 117 N Winnsboro St, Quitman, Texas |
| Authorized Official Name and Position | Ron Lane Daniels (PHYSICIAN) |
| Authorized Official Contact | 9037632218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L Daniels DO PA Po Box 895 Quitman TX 75783-0895 Ph: (903) 763-2218 | Ronald L Daniels DO PA 117 N Winnsboro St Quitman TX 75783-2144 Ph: (903) 763-2218 |
| NPI Number | 1992010557 |
|---|---|
| Provider Enumeration Date | 08/07/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992010557 | NPI | - | NPPES |
| 115843802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E3246 (Texas) | Primary |
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